Provider Demographics
NPI:1295858652
Name:POSITIVE DIRECTIONS, INC
Entity Type:Organization
Organization Name:POSITIVE DIRECTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:ANGELINE
Authorized Official - Last Name:LAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-721-3525
Mailing Address - Street 1:1231 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-1735
Mailing Address - Country:US
Mailing Address - Phone:661-721-3525
Mailing Address - Fax:661-721-1701
Practice Address - Street 1:1231 MAIN ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-1735
Practice Address - Country:US
Practice Address - Phone:661-721-3525
Practice Address - Fax:661-721-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility